Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $295.12	Professional		$141.25	$181.97	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $676.08 / $1,513.56	Facility		$354.81	$676.08	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $251.19	Professional		$165.96	$190.55	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,071.52 / $2,041.74	Facility		$134.90	$1,071.52	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $426.58	Professional		$177.83	$245.47	$426.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $229.09 / $501.19	Facility		$162.18	$229.09	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,698.24 / $2,570.40	Facility		$380.19	$1,698.24	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $363.08	Professional		$186.21	$239.88	$363.08